S03-2 The Child-COOP Denmark study: using physical literacy to guide and evaluate a systemic approach to health promotion

Abstract Background Children’s health is generally considered a complex interplay between multiple factors. Interventions building on community-based participatory research and system dynamics have shown promising potential in improving children's health behavior and well-being. This presentation aims to present how physical literacy can be used to guide and evaluate a systemic approach to health promotion. Methods System dynamics techniques such as group model building, is used to engage a whole community in a rural area of Denmark and develop local actions for enhancing among other physical activity. A central health outcome in The Child-COOP Denmark study is physical literacy, which is measured by using DAPL (the Danish version of CAPL). Physical literacy will be used as a central element to guide and evaluate the project. The evaluation design includes repeated measures of childhood health behavior, physical literacy and well-being among 100 children (6-13 y) attending the local primary school. With data collection at baseline and at 2 and 4 years of follow up. Results Furthermore, physical literacy results throughout the project period will also be used to guide new local actions in the environment aiming to enhance the local children’s health, well-being and physical activity. Discussion The potential of using physical literacy measures to guide and evaluate a participatory systems approach in order to solve complex health problems, is discussed and debated with the audience.


Background
Club-based sports participation through adolescent years is associated with improved health and wellbeing and is therefore considered and important part of health promotion in Scandinavian welfare states. Participation rates are very high among children whereas dropout rates increase during the adolescent years. Many studies have shown how intentions to continue in sport is dependent on autonomous motivation, which is dependent on basic psychological needs satisfaction and hence needs support in the social environment of the team. It has also been shown that the coach has central influence on social environment of the team. The SATS study is a prospective study on the influence of coach-created social climate on young club-sport participants' psychological needs satisfaction, motivation and continuation the following season.

Methods
Participants were 6400 adolescent members of leisure time club-organized Basketball, Handball, Football and Gymnastics in Denmark. In the baseline-season coach-created climate was measured with the EDMCQ-C, Basic Psychological needs satisfaction and frustration was measured with PNSS-S and behavioral regulation (motivation) was measured with BRSQ. The participants' continuation or dropout the next season was measured with a short SMS based questionnaire the next season.

Results
Task oriented, social supportive and autonomy supportive coach behaviors were associated with higher basic needs satisfaction, autonomous motivation and continuation the next season across sports, ages, levels and genders. Egooriented and controlling coaching behaviors were associated with needs frustration, controlled motivation and dropout.
S03-4 3PL: Promoting pupils' physical literacy: a pilot study testing feasibility and acceptability of the Y-PATH intervention in a Danish school setting Background A considerable number of Danish children and adolescents do not currently meet the national physical activity (PA) recommendations. In recent years, the concept of physical literacy (PL), has gained popularity worldwide, and it is considered as a proximal measure for lifelong PA. However, only a few interventions targeting PL exist on a global scale. In Denmark, the development of theoretically driven and evidencebased PL interventions that aim to increase PL among children and adolescents has not begun. Yet, a promising, theory-based, and internationally tested intervention, the Youth Physical Activity Towards Health (Y-PATH), has proven to be effective on children and adolescents' PA levels and motor skills. This presentation introduces the Promoting Pupils' Physical Literacy (3PL) project which aims to test the feasibility and acceptability of the Y-PATH intervention in a Danish context among pupils 9-11 years of age.

Methods and Results
The hypothesis is that a revised and adapted 3PL intervention protocol that aims to increase pupils' PL is ready for effectiveness testing by the end of this project. Two public schools will be recruited and randomly assigned to intervention or control condition following a waitlist design. The primary outcomes include the feasibility and acceptability of the intervention. The feasibility of the practicality and the recruitment process will be assessed within a document log administered by research assistants. The acceptability, including demand and experiences, and the intervention implementation degree will be evaluated by short bimonthly questionnaires to teachers, and interviews with pupils, ii10 European Journal of Public Health, Volume 32 Supplement 2, 2022